PLATINUM DENTAL PLLC
NPI 1760762868
Dentist - General Practice in Boise, ID

Active since August 19, 2011
9502 W FAIRVIEW AVE, BOISE, ID 83704(208) 377-2223 Get Directions Write a Review

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 7, 2018, Aug 25, 2016 (2 updates tracked since 2016).

About Platinum Dental Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLATINUM DENTAL PLLC (NPI 1760762868) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since August 2011. The organization lists Richard Ryan Davis, Owner/ Dentist, as its authorized official.

NPPES Registry Identity

NPI1760762868
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePLATINUM DENTAL PLLC
Location Address9502 W FAIRVIEW AVEBoise, ID 83704-8103
Mailing Address9502 W Fairview AveBoise, ID 83704-8103 · (208) 377-2223
Organization SubpartNo
Authorized OfficialRichard Ryan DavisOwner/ Dentist · (208) 440-7384
Enumeration DateAugust 19, 2011
Last NPPES UpdateMarch 7, 20182 updates tracked since enumeration
✔ NPI 1760762868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D4373
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9502 W FAIRVIEW AVE, Boise, ID 83704

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
9502 W FAIRVIEW AVE
BOISE, ID 83704
Dentist (General Practice)
9502 W FAIRVIEW AVE
BOISE, ID 83704
Dentist (General Practice)
9502 W FAIRVIEW AVE
BOISE, ID 83704
Dentist (General Practice)
9502 W FAIRVIEW AVE
BOISE, ID 83704
Clinic/Center (Dental)
9502 W FAIRVIEW AVE
BOISE, ID 83704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Platinum Dental PLLC's NPI number?

The NPI number for Platinum Dental PLLC is 1760762868. It was assigned to this organization in the NPPES registry on August 19, 2011.

Where is Platinum Dental PLLC located?

Platinum Dental PLLC is located at 9502 W Fairview Ave, Boise, ID 83704. The listed phone number is (208) 377-2223.

What is Platinum Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Platinum Dental PLLC was last updated on March 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.